| NPI | 1902251705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH EARNEST Director 720-775-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923282) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2020-05-06 |